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Kulak Burun Bo\u011faz & Ba\u015f ve Boyun Cerrahisi Uzman\u0131 Profes\u00f6r Doktor Mehmet Yavuz S\u00fctbeyaz, vertigonun tedavisinin m\u00fcmk\u00fcn oldu\u011funu s\u00f6yledi.<\/p>\nKulak Burun Bo\u011faz & Ba\u015f ve Boyun Cerrahisi Uzman\u0131 Profes\u00f6r Doktor Mehmet Yavuz S\u00fctbeyaz, vertigonun tedavisinin m\u00fcmk\u00fcn oldu\u011funu s\u00f6yledi.<\/p>\n
Vertigonun sebebinin i\u00e7 kulak kaynakl\u0131 oldu\u011funu s\u00f6yleyen Prof. Dr. S\u00fctbeyaz, \u201cPeriferik vertigo, Benign Paroxismal Pozisyonel Vertigo (BPPV) halk aras\u0131nda i\u00e7 kulak kanallar\u0131nda kristal kaymas\u0131 olarak bilinir. Vertigonun (ba\u015f d\u00f6nmesi) en s\u0131k g\u00f6r\u00fclen sebebidir. Her insan\u0131n ya\u015fam\u0131 boyunca en az bir sefer de olsa BPPV ihtimali y\u00fczde 10\u2019dur. Ba\u015f\u0131n veya v\u00fccudun bir hareketi ile (perde asarken, arabada geri manevra yaparken, bir tarafa yatarken vb) ortaya \u00e7\u0131kan ba\u015f d\u00f6nmesi ataklar\u0131d\u0131r. Vertigo olmad\u0131\u011f\u0131 d\u00f6nemde, y\u00fcr\u00fcme s\u0131ras\u0131nda hafif dengesizlik olabilir. \u0130\u00e7 kulaktaki yar\u0131mdaire kanallar\u0131 i\u00e7erisine denge organ\u0131 \u00fczerinde bulunan kristal taneciklerinin d\u00fc\u015f\u00fcp ba\u015f hareketleri ile kanallarda dola\u015f\u0131p ani uyar\u0131lara yol a\u00e7mas\u0131 sonucunda husule gelen ba\u015fd\u00f6nmesidir. Videonistagmograf (VNG) testi ile kristal taneciklerinin yeri saptan\u0131p, yerine g\u00f6re de\u011fi\u015fik manevra tedavisi ile d\u00fczeltilir\u201d dedi.<\/p>\n
Vestib\u00fcler norinitin \u00e7o\u011funlukla \u00dcSYE\u2019lerini (\u00fcst solunum yolu enfeksiyonu) takip eden g\u00fcnlerde ortaya \u00e7\u0131kan ba\u015f d\u00f6nmesi, bulant\u0131-kusma krizi oldu\u011funu ifade eden Profes\u00f6r Doktor Mehmet Yavuz S\u00fctbeyaz, \u201cBazen g\u00fcnlerce s\u00fcrebilir. Kendili\u011finden yava\u015f yava\u015f d\u00fczelir (gribal hastal\u0131klar gibi). Bulant\u0131-kusma \u00f6nleyici (antiemetik) ila\u00e7larla destek olunabilir. \u00d6zellikle ilk g\u00fcnlerde yatak istirahati \u015fartt\u0131r.<\/p>\n
Meniere Hastal\u0131\u011f\u0131: \u0130\u015fitme kayb\u0131, kulakta \u00e7\u0131nlama ve dolgunluk hissi, 24 saate kadar s\u00fcrebilen ba\u015f d\u00f6nmesi ataklar\u0131n\u0131n e\u015flik etti\u011fi i\u00e7 kulaktaki s\u0131v\u0131lar\u0131n bas\u0131nc\u0131n\u0131n y\u00fcksek olmas\u0131 durumudur. Stres ve tuz t\u00fcketimi su\u00e7lanmaktad\u0131r. Sigara nikotininine kar\u015f\u0131 bir a\u015f\u0131r\u0131 b\u00fcnyesel reaksiyonun sebep oldu\u011fu iddias\u0131 da \u00e7ok g\u00fc\u00e7l\u00fcd\u00fcr.<\/p>\n
Kronik orta kulak iltihaplar\u0131n\u0131n i\u00e7 kula\u011fa yay\u0131lmas\u0131 (labirentit) sonucunda meydana gelen vertigo ve Migren\u00f6z vertigo (vestib\u00fcler migren): Migren toplumda ba\u015f a\u011fr\u0131s\u0131n\u0131n bir t\u00fcr\u00fc olarak bilinir. \u00c7ok fazla bilinmeyen k\u0131sm\u0131 ise migren ba\u015fa\u011fr\u0131s\u0131n\u0131n vask\u00fcler (damarsal) ba\u015f a\u011fr\u0131s\u0131 oldu\u011fudur. Kafatas\u0131ndaki zengin damar a\u011f\u0131n\u0131n ani olarak geni\u015fleyip veye daralmas\u0131yla tetiklenen a\u011fr\u0131d\u0131r migren. Vestib\u00fcler migren ise i\u00e7 kulaktaki denge sisteminin ve\/veya uyar\u0131lar\u0131 beyne g\u00f6t\u00fcren vestib\u00fcler sinirin (denge siniri), beslendi\u011fi damarlardaki ani kas\u0131lmalara ba\u011fl\u0131 kan dola\u015f\u0131m\u0131n\u0131n bozulmas\u0131yla meydana gelen ba\u015f d\u00f6nmesidir. Tedavisi migren tedavisine benzer. \u0130\u00e7 kulakta veya i\u00e7 kulak sinirindeki t\u00fcm\u00f6ral hastal\u0131klar\u201d dedi.<\/p>\n
Santral vertigonun beyinde bulunan denge merkezlerini etkileyen n\u00f6rolojik durumlarda olu\u015fan vertigo oldu\u011funu ifade eden S\u00fctbeyaz, daha sonra \u015funlar\u0131 kaydetti: \u201cBa\u015f d\u00f6nmesine \u015fuur kayb\u0131, \u00e7ift g\u00f6rme, konu\u015fma bozukluklar\u0131 ve fel\u00e7 gibi semptomlar e\u015flik edebilir. Ayr\u0131ca boyun problemleri ve sistemik hastal\u0131klarda da vertigo g\u00f6r\u00fclebilir.<\/p>\n
VERT\u0130GODA TEDAV\u0130<\/p>\n
Vertigo sadece bir bulgu oldu\u011fundan \u00f6ncelikle altta yatan hastal\u0131k tedavi edilmelidir. Videonistagmografi testi ile e\u011fer i\u00e7 kulaktaki kristallerle ilgili problem saptan\u0131rsa (BPPV), \u00f6zel manevralar (Epley, Semont, Barbeque, Gufoni ) veya \u00f6zel egzersizler (Brandt-Daroff) yapt\u0131r\u0131larak kanallarda kristallerin stabilizasyonu sa\u011flan\u0131r. Tecr\u00fcbeli ellerde yap\u0131lan test ve manevralarla hastalar bir seansta bile y\u0131llardan beri \u00e7ekti\u011fi vertigo \u015fikayetinden kurtulabilmektedirler. E\u011fer ba\u015f d\u00f6nmesi Meniere hastal\u0131\u011f\u0131na ba\u011fl\u0131 ise, tuz k\u0131s\u0131tlamas\u0131, sigara yasa\u011f\u0131, stresten uzak durma ve gerekirse psikolojik tedavi, allerjen g\u0131dalardan uzak durma ve baz\u0131 ila\u00e7lar ile ba\u015f d\u00f6nmesi ataklar\u0131n\u0131n s\u0131kl\u0131\u011f\u0131 ve ataklar\u0131n s\u00fcresi azalt\u0131lmaya \u00e7al\u0131\u015f\u0131l\u0131r. Kriz d\u00f6nemlerinde gerekirse hasta yat\u0131r\u0131larak tedavi edilir. Migren\u00f6z vertigolarda tedavi migren ba\u015f a\u011fr\u0131lar\u0131nda oldu\u011fu gibidir. Vestib\u00fcler n\u00f6rinit ba\u015flang\u0131\u00e7 d\u00f6neminde yatak istirahati \u00f6nerdi\u011fimiz, her g\u00fcn \u015fikayetleri biraz daha azalarak 15-30 g\u00fcn i\u00e7erisinde kendili\u011finden d\u00fczelen, denge organ\u0131n\u0131n bir t\u00fcr nezlesidir\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"
KULAK BURUN BO\u011eAZ & BA\u015e VE BOYUN CERRAH\u0130S\u0130 UZMANI PROF. DR. MEHMET YAVUZ S\u00dcTBEYAZ, VERT\u0130GONUN TEDAV\u0130S\u0130N\u0130N M\u00dcMK\u00dcN OLDU\u011eUNU S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[32588,6926,30937],"class_list":["post-180357","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-edilebiliyor","tag-tedavi","tag-vertigo"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/180357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=180357"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/180357\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=180357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=180357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=180357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}